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conferenceseries
.com
Volume 04
Journal of Neonatal & Pediatric Medicine
Neonatal Nursing Congress 2018
May 14-15, 2018
May 14-15, 2018 Singapore
30
th
Global Experts Meeting on
Neonatal Nursing &
Maternal Healthcare
Urinary tract infection among obstetric fistula patients at Gondar University Referral Hospital,
Northwest Ethiopia
Teklay Gebrecherkos Teklu, Yitayih Wondimeneh, Dagnachew Muluye, Abebe Alemu, Asmamaw Atinafu, Gashaw Yitayew , Agersew Alemu,
Demekech Damtie and Getachew Ferede
University of Gondar, Ethiopia
Background & Aim:
Many women die from complications related to pregnancy and childbirth. In developing countries
particularly in sub-Saharan Africa and Asia, where access to emergency obstetrical care is often limited, obstetric fistula usually
occurs as a result of prolonged obstructed labor. Obstetric fistula patients have many social and health related problems like
Urinary Tract Infections (UTIs). Despite this reality there was limited data on prevalence UTIs on those patients in Ethiopia.
Therefore, the aim of this study was to determine the prevalence, drug susceptibility pattern and associated risk factors of UTI
among obstetric fistula patients at Gondar University Hospital, Northwest Ethiopia.
Methods:
A cross sectional study was conducted from January to May, 2013 at Gondar University Hospital. From each post
repair obstetric fistula patients, socio-demographic and UTIs associated risk factors were collected by using a structured
questionnaire. After the removal of their catheters, the mid-stream urine was collected and cultured on CLED. After overnight
incubation, significant bacteriuria was sub-cultured on Blood Agar Plate (BAP) and MacConkey (MAC). The bacterial species
were identified by series of biochemical tests. Antibiotic susceptibility test was done by disc diffusion method. Data was entered
and analyzed by using SPSS version 20.
Results:
A total of 53 post repair obstetric fistula patients were included for the determination of bacterial isolate and 28
(52.8%) of them had significant bacteriuria. Majority of the bacterial isolates, 26 (92.9%), were Gram negative bacteria and
the predominant ones were Citrobacter 13 (24.5%) and Escherichia coli 6 (11.3%). Enterobacter, Escherichia coli and Proteus
mirabilis were 100% resistant to tetracycline. Enterobacter, Proteus mirabilis, Klebsiella pneumoniae, Klebsiella ozaenae and
Staphylococcus aureus were also 100% resistant to Ceftriaxone.
Conclusion:
The prevalence of bacterial isolates in obstetric fistula patients was high and majority of the isolates were gram
negative bacteria. Even though the predominant bacterial isolates were Citrobacter and E. coli, all of the bacterial isolates had
multiple antibiotic resistance patterns which alert health profession to look better treatment for these patients.
tgchirkos@yahoo.comNeonat Pediatr Med 2018, Volume 4
DOI: 10.4172/2572-4983-C1-003